Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01938 | Date 17/06/2022 |
| Token No | SM/22-23/6312 28/01/2023 | Serial | 018 |
| Patient Name | Mrs. HIRAMATI DEBI | Contact No | 6291292634 |
| Address | 97I/1 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||